Individual
CARRIE BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS
Contact information
Practice address
7102 MINERAL POINT RD, MADISON, WI 53717-1706
(608) 828-7603
(608) 828-7644
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
(608) 829-5485
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2104
WI
Other
Enumeration date
09/20/2005
Last updated
02/16/2021
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